not careening from a debt ceiling debacle to a fiscal cliff to some other issue with tax credits that expire every few months and all that kind of stuff so i think somehow the government as a whole has to come together in order to give business the confidence it needs. >> the single most important cost that we need to get under control is health care. which now takes up 17% of gdp and still rises much faster than inflation every year. peter or zag ran president obama's office of management and budget in the first term. he says obama care moves us away from a bad model where doctors and hospital haves a financial incentive to sell you lots of services. getting health care costs down is absolutely fundament al to te long-term fiscal health of the country. >> i think there's several things. i would point to moving much more aggressively away from fever service, even more rapidly. we don't need to wait until 2020. in addition i think the big gap that remains is medical malpractice reform and what i would favor is a safe harbor to a doctor. if you can show you're following an evidence-base